Miriad Products Ltd - Credit Account Application Form
Important terms and conditions which affect your rights are set out in the attached document.
Please go to our website: https://miriad-products.com to read and agree the Terms and Conditions of our business before completing the
Application in full.
Please ensure to attach a copy of your company letter headed paper when returning this form.
Company Details
Full Registered Name:
Trading Name:
Trading Address:
Date of Incorporation:
Registration Number:
VAT Number:
Company Type:
Postcode:
When does your financial year end?
Website Address:
Limited
Plc
Partnership
Sole Trader
Sole Traders and Partnerships Only. (Names and home addresses of the business owners)
Name:
Home Address:
Postcode:
Contact Details
Telephone
Email
Managing Director:
Finance Director:
Purchasing:
A/C's Payable:
Account Requirements
Account in the name of:
Estimated Credit Required
Payment Method:
Company Bank Details
Bank name:
Address:
Cheque
Visa/Access
Debit Card
Direct Debit
Sort Code:
Account Number:
Postcode:
Previous Trading Experience
Have you, any parent or subsidiary company, previously traded with Miriad Products Ltd before in any other capacity?
Account Name:
Account Number:
Do any of your directors hold other directorships? If yes, please attach details.
Have you ever filed for bankruptcy or been disqualified as a director? If yes, please attach details.
Names and Addresses of Two Trade references. Please input the full address and postcode.
Name:
Email:
Credit Limit (£):
Address:
1
Name:
Email:
Credit Limit (£):
Address:
BAC's